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1538790886
LANCE SHANE TAYLOR
SHREVEPORT, LA
NPI
1538790886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
Mr. LANCE SHANE TAYLOR
521 DUDLEY DR
SHREVEPORT, LA 71104-5023
Phone number: 318-265-7562
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Mailing Address
Mr. LANCE SHANE TAYLOR
521 DUDLEY DR
SHREVEPORT, LA 71104-5023
Phone number: 318-265-7562
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